dc.contributor.author |
Akbulut, S |
|
dc.contributor.author |
Wojcicki, M |
|
dc.contributor.author |
Kayaalp, C |
|
dc.contributor.author |
Yilmaz, S |
|
dc.date.accessioned |
2022-10-13T12:36:34Z |
|
dc.date.available |
2022-10-13T12:36:34Z |
|
dc.date.issued |
2013 |
|
dc.identifier.uri |
http://hdl.handle.net/11616/80420 |
|
dc.description.abstract |
The so-called piggyback technique of liver transplantation (PB-LT) preserves the recipient's caval vein, shortening the warm ischemic time. It can be reduced even further by using a linear stapler for the cavocaval anastomosis. Herein, we have presented a case of a patient undergoing a side-to-side, whole-organ PB-LT for cryptogenic cirrhosis. Upper and lower orifices of the donor caval vein were closed at the back table using a running 5-0 polypropylene suture. Three stay sutures were then placed on caudal parts of both the recipient and donor caval with a 5-mm venotomies. The endoscopic linear stapler was placed upward through the orifices and fired. A second stapler was placed more cranially and fired resulting in a 8-9 cm long cavocavostomy. Some loose clips were flushed away from the caval lumen. The caval anastomosis was performed within 4 minutes; the time needed to close the caval vein stapler insertion orifices (4-0 polypropylene running suture) before reperfusion was 1 minute. All other anastomoses were performed as typically sutured. The presented technique enables one to reduce the warm ischemic time, which can be of particular importance with marginal grafts. |
|
dc.description.abstract |
C1 [Akbulut, S.; Kayaalp, C.; Yilmaz, S.] Inonu Univ, Fac Med, Liver Transplant Inst, Dept Surg, TR-44280 Malatya, Turkey. |
|
dc.description.abstract |
[Wojcicki, M.] Pomeranian Med Univ, Liver Unit, Szczecin, Poland. |
|
dc.source |
TRANSPLANTATION PROCEEDINGS |
|
dc.title |
Liver Transplantation With Piggyback Anastomosis Using a Linear Stapler: |
|
dc.title |
A Case Report |
|